Mackenzie Church Holm, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-10437 Issued in NC

Practice address

1220 Spruce St
Belmont, NC 28012-3370

Phone

(704) 825-5333

Fax

(704) 825-1751

NPI assigned

Jan 24, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
• Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Caromont Medical Group Inc

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1356314272
  Medicare reassignment Care Compare group NPD
• Carolinas Physicians Network Inc

  • Orthopaedic Surgery Physician
  • Charlotte, NC
  • NPI 1437607686
  Medicare reassignment Care Compare group
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1982883583
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carolinas Medical Center

  • Psychiatric Hospital Unit
  • Charlotte, NC
  • NPI 1053358945
  Care Compare affiliation
• Carolinas Medical Center

  • General Acute Care Hospital
  • Charlotte, NC
  • NPI 1295789907
  Care Compare affiliation
• Carolinas Medical Center

  • General Acute Care Hospital
  • Charlotte, NC
  • NPI 1376985135
  Care Compare affiliation
• Carolinas Medical Center

  • Children's Rehabilitation Hospital
  • Charlotte, NC
  • NPI 1699829887
  Care Compare affiliation
• Carolinas Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Charlotte, NC
  • NPI 1720029705

  Hospital

  Care Compare affiliation
• Carolinas Medical Center

  • Clinical Medical Laboratory
  • Charlotte, NC
  • NPI 1811005150

  Hospital

  Care Compare affiliation
• Gaston Memorial Hospital, Incorporated

  • General Acute Care Hospital
  • Gastonia, NC
  • NPI 1013918960
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1720618135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786",
            "telephone_number": "704-671-5343",
            "fax_number": "704-671-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 SPRUCE ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123370",
            "telephone_number": "704-825-5333",
            "fax_number": "704-825-1751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 N Dekalb St Ste B",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281504191",
            "country_code": "US",
            "telephone_number": "704-484-8001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 N Main St",
            "address_purpose": "LOCATION",
            "city": "Stanley",
            "state": "NC",
            "postal_code": "281641438",
            "country_code": "US",
            "telephone_number": "704-263-8945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9310 Strause Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282145054",
            "country_code": "US",
            "telephone_number": "704-398-6488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1381 E Garrison Blvd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280545127",
            "country_code": "US",
            "telephone_number": "704-861-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "519 Nautical Dr Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Clover",
            "state": "SC",
            "postal_code": "297108113",
            "country_code": "US",
            "telephone_number": "803-621-2858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "159 E Dallas Rd",
            "address_purpose": "LOCATION",
            "city": "Stanley",
            "state": "NC",
            "postal_code": "281642052",
            "country_code": "US",
            "telephone_number": "704-263-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "660 Summit Crossing Pl Ste 301",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542181",
            "country_code": "US",
            "telephone_number": "704-854-8799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3326 Bessemer City Rd",
            "address_purpose": "LOCATION",
            "city": "Bessemer City",
            "state": "NC",
            "postal_code": "280168781",
            "country_code": "US",
            "telephone_number": "704-629-3206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4325 South New Hope Road",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "28056",
            "country_code": "US",
            "telephone_number": "704-825-4750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Elm Street",
            "address_2": "McAdenville",
            "address_purpose": "LOCATION",
            "city": "NC",
            "state": "NC",
            "postal_code": "28101",
            "country_code": "US",
            "telephone_number": "704-824-5323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 E Church St Ste A",
            "address_purpose": "LOCATION",
            "city": "Cherryville",
            "state": "NC",
            "postal_code": "280212968",
            "country_code": "US",
            "telephone_number": "704-445-0422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2711 X Ray Dr Ste 3106",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280547491",
            "country_code": "US",
            "telephone_number": "704-834-2420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Kings Mountain",
            "state": "NC",
            "postal_code": "280863106",
            "country_code": "US",
            "telephone_number": "704-730-1228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 W Trade St Ste A",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "NC",
            "postal_code": "280341543",
            "country_code": "US",
            "telephone_number": "980-834-9130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1895 Hoffman Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280546557",
            "country_code": "US",
            "telephone_number": "704-865-1749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1075 E Hudson Blvd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280541694",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLM",
        "first_name": "MACKENZIE",
        "middle_name": "CHURCH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey P Hill, DPT
• Meredith Sligar Hirsch, FNP
• Angeline Quynh-Nhi Hoang
• Nathan Hoffman, DMD
• Charles Cowan Hogue II
• Karen Eileen Holmes, LPT
• Holy Angels Inc
• Holy Angels Inc
• Holy Angels Inc.
• Holy Angels Services Inc.

• Physician Assistant in Belmont, NC
• Providers in Belmont, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.